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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E2 | F· |
| Minimal | A· | B1 | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 20, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 20, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Nov 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 12, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 12, 2025 | Health | Health Standard | 1 | Minimal | — | Open → |
| Mar 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 7, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 7, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E2 | F· |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 20, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2026 | |
| May 20, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2026 | |
| Nov 16, 2025 | F-0580 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
13 facilities in 5 states. CMS chain ID 545.
Chain average overall rating (CMS): 4.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| East Texas Medical Center Regional Healthcare System | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Dec 1, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| East Texas Medical Center Regional Healthcare System | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Dec 1, 2016 |
| Golden Road Investments LLC | Organization | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Apr 1, 2016 |
| Veritas Management Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 7, 2016 |
| Julie Kelly | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Center at Parmer 13800 N Fm 620 Rd Sb, Austin, TX 78717 CCN 676487 | 80 | Jan 30, 2026 | 33 | — | |
| Center at Zaragoza, LLC 12660 Pebble Hills Blvd., El Paso, TX 79938 CCN 745005 | 80 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Waterton Healthcare & Rehabilitation 2875 Shiloh Road, Tyler, TX 75703 CCN 676193 | 2 km | 92 | Aug 20, 2026 | 111 IJ1 harm | $23k | |
| Providence Park Rehabilitation and Skilled Nursing 5505 New Copeland Rd, Tyler, TX 75703 CCN 676184 | 3.4 km | 125 | Jun 15, 2026 | 242 IJ | $188k | |
| Meadow Lake Health Center 16044 Cr 165, Tyler, TX 75703 CCN 676286 | 4.5 km | 20 | Sep 24, 2025 | 4 | — | |
| Park Place Nursing & Rehabilitation Center 2450 E Fifth St, Tyler, TX 75701 CCN 676005Abuse icon | 6.1 km | 120 | Jun 30, 2026 | 461 IJ2 harm | $282k | |
| Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888 | 6.3 km | 99 | Aug 7, 2025 | 19 | — | |
| Avir at Azalea Heights 3505 Old Jacksonville Rd, Tyler, TX 75701 CCN 675289 | 6.9 km | 120 | Aug 28, 2026 | 263 IJ1 open | $15k | |
| Briarcliff Health Center 3403 Vine Ave, Tyler, TX 75701 CCN 675142 | 7.2 km | 230 | Jul 22, 2026 | 243 IJ2 harm | $51k | |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 7.2 km | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676443 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676443 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| D · Potential harm Isolated |
| Corrected Dec 15, 2025 |
| Complaint |
| Mar 12, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 13, 2025 |
| Mar 6, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 7, 2025 | Complaint |
| Feb 7, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 30, 2024 |
| Feb 7, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 7, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 7, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 7, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 7, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.70 (case-mix index 1.69).
| not provided |
| Apr 5, 2018 |
| Monte Murdock | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2016 |
| Alexander Senkoff | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2016 |
| Bartolome Esmas | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 2016 |
| James Michaels | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2016 |
| Julie Kelly | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 5, 2018 |
| Jun 2, 2026 |
46 |
| — |